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Contract 57886-FP1
FORTWORTH, PARK & RECREATION DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 57886 Date Received: 5/8/2024 City Project JV!?: 101833 & 102014 Regarding contract 57886 Sycamore Park Paving & Park Improvements for as required by the PARK & RECREATION DEPARTMENT as approved by City Council on 6/28/2022 through M&C 22-0471 the director of the PARK & RECREATION DEPARTMENT upon the recommendation of the Assistant Director of the Park & Recreation Department has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, PARK & RECREATION DEPARTMENT Accepted Director, PARK & RECREATION DEPARTMENT up�" ----) Asst. City Manager $ 1,285,533.00 $ 78,868.00 Na 3 $ 1,364,401.00 $1,361,701.00 Days @ $650.00/ Day $ 1,361,701.00 $ 1,293,615.95 $ 68,085.05 Apr 30, 2024 Date May 2, 2024 Date May 7, 2024 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From - To): P. O. FW080-0000010346 & FW080- From (contractor): Number: 0000011579 Northstar Construction LLC Project: 101833 & 102014 Contractor's CFW Vendor No.: 0000009565 Invoice No. Invoice Date: Remit to ( If Not Automatic Deposit ): 10-FINAL City secretary contract 57886 Contract Number: Namame:: Sycamore Park Paving & Park Improvements Application For Payment Change Order Summary (Approved Change Orders 1. ORIGINAL CONTRACT PRICE............................................................ $ $1,285,533.00 Number Additions Deletions 2. Net change by Change Orders.................................................................. $ $78,868.00 1 $45,030.00 3. Current Contract Price Line 1 f 2 $ $1,364,401.00 2 $40,728.00 $10,745.00 4. TOTAL COMPLETED AND STORED TO DATE 3 $3,855.00 (Progress Estimate, Construction Allowance and Change Orders)...... $ $1,361,701.00 4 5. RETAINAGE: 5 a. X $1,361,701.00 Work Completed......... $ 6 b. X Not Used $ 7 c. Total Retaina a Line 5a + Line 5b $ 8 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................. $ $1,361,701.00 TOTALS $89,613.00 $10,745.00 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ $1,293,615.95 NET CHANGE BY $78,868.00 8. AMOUNT DUE THIS APPLICATION..................................................I $ $68,085.05 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ $2,700.00 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 120 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress b, Days Added by CO 81 payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by c. Total Days 201 prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment d. Days Charged 201 free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); e, Days Remaining and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. /' � � /j �Q i`f lti��✓L, Consent of Surety Affidavit of Bills Paid This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Progress Estimate For (°..mo ). Sycamore Park Paving & Park Improvements Application Penod: A Item Bid Item No. I Base Bid Sycamore Circle Improvements & Playground (120 Cal. Days) 1 01 Mobili cagjp (m " f % of total Bid) 1 02 Remove Sidewalk/Tmil 1 03 Remove Cable Fence I 04 DELETED 1 05 Remove Asphalt Pymt 1 06 Remove Cone Curb & Gutter 1 07 Tree Protection (Install & Remove) 1 08 Unclassified Excavation by Plan 1 09 Embankment by Plan 1 10 SWPPP > 1 acre 1 11 Erosion Control Measures (Install & Remove) I 12 Rock Ritual, 1 13 Hydrated Lime 1 14 6" Lime Treatment I 15 6" Cone P-t 1 16 4" Cone Sidewalk 1 17 5" Cone Trail 1 18 Barrier Free Ramp, Type P-1 1 19 Barrier Free Rama Type P-2 1 20 Truncated Domes at Trail Crossing 1 21 Collapsable Bollards I 22 Cable Fence 1 23 Street & Handicap Signage 1 24 Pavement Markings I 25 Wheelstop 1 26 Block Sod Placement & Temporary Watering 1 27 Decomposed Granite 1 28 Trench Safety 1 29 18" Polypropylene Pipe for Storm Drain 1 30 21" Polypropylene Pipe for Storm Drain 1 31 T Stomt Junction Box I 32 T Drop Inlet 1 33 18" Type C Headwall 1 34 21" Type C Headwall 1 35 Traffic Control 1 36 Removal of Existing Playground 1 37 Playground Equipment (Purchase) 1 38 Playground Equipment (Install) 1 39 Concrete Edging 1 40 Concrete Access Ramp 1 41 FTW Logo Bench 1 42 Sol. Powered Light 1 43 Subdram 1 44 Playground Surfacing Specificatmn Unit of Measure Section No. 01 70 00 LS 024113 SF 0241 13 LF 0241 15 SY 0241 15 LF LS 3123 16 CY 31 24 00 CY 3125 00 LS 31 25 00 LS 31 37 00 SY 32 11 29 TN 321129 SY 32 13 13 SY 32 13 20 SF 32 1320 SF 32 13 20 EA 32 13 20 EA 32 13 20 EA 116713 EA 11 67 13 LF 34 41 30 LS 321723 LS 11 67 13 EA 329213 SY SF 3305 10 LF 3341 13 LF 3341 13 LF 33 49 10 EA 33 49 20 EA 33 49 40 EA 33 49 40 EA 3471 13 MO 0241 13 LS 11 68 14 LS 1168 14 LS 11 69 15 LF 11 69 15 EA 11 67 13 EA 11 67 13 EA 33 46 00 LF 11 69 15 LS City secretary Contract Nam: Bid Quantity Unit Price 1.00 $76,000.00 15011.00 $2.00 1754.00 $3.00 5359.00 $11.00 80.06 $7.00 1.00 $11,000.00 1770.00 $35 00 285.00 $20.00 1.00 $1,200.00 1.00 $10,000.00 23.00 $270.00 74.00 $307.00 4616.00 $8.00 4228.00 $72.00 3096.00 $6.00 13141.00 $7.00 3.00 $90000 1.00 $1,000.00 2.00 $650.00 2.00 $875.00 2779.00 $18.00 1.00 $8,000.00 1.00 $12,500.00 29.00 $74.00 13320.00 $6.00 1353.00 $5.00 235.00 $1.00 71.00 $96.00 164.00 $113.00 1.00 $5,200.00 2.00 $6,500.00 1.00 $4,425.00 1.00 $4,700.00 4.00 $1,100.00 1.00 $5,000.00 1.00 $128,404.00 1.00 $66,000.00 385.00 $36.00 100 $1,72000 2.00 $2,700.00 2.00 $25,500.00 255.00 $52.00 100 $36,00000 C-620 Unit Price Progress Estimate 57886 Contractor's Application Application N-Ix,,: 10-FINAL B C D Bid Valoe Eefinsited Qaannty Installed Valae I $76,000001 � 1.000000001 $ $30,022.001 14787.000000001 $. $5,262.001 1754.000000001 $58,949001 5026.000000001 $; $560.001 80.000000001 $11,000.001 1.000000001 $. $61,950.001 1770.000000001 $I $5,700001 285.000000001 $1,200001 1.000000001 $10,000.001 1.000000001 $. $6,210 001 23.00000000I $22,718 001 74.000000001 $: $36,928.001 4616.000000001 $I $304,416.001 4228.000000001 $31 $18,576001 3017.000000001 $-. $91,987.001 13141.000000001 $( $2,700.001 3.000000001 $1,000001 1.000000001 $1,300001 2.000000001 $1,750.001 2.000000001 $50,022.001 2779.000000001 $; $8,000001 1.000000001 $6,765 $235 $6,816 $18,532 $5,200 $13,000 $4,425 $4,700 $4,400 $5,000 128,404 $66,000 $13,860 $1,720 $5,400 $51,000 $13,260 1353.000000001 235.000000001 61.00OOOOOO1 164.000000001 2.000000001 1.000000001 1.000000001 1.000000001 385.000000001 1.000000001 2.000000001 2.000000001 255.000000001 1.000000001 This document has been modified from its ongmal form as an EJCDC document and the user did not highlight the moditicafions You are, encouraged on read the document carefully and consuh Legal Counsel prior to its execmion Application Date: E F Materials Presently Total Completed % Previonsly Installed Value I Value This Period Stored (not in C) mid Stated to Date (F) D+E) B $76,000 00 100.0% $29,574.00 98.5% $5,262.00 100.0% $55,286 00 93.8% $560.00 100.0% $11,000.00 100.0% $61,950.00 100.0% $5,700 00 100.0% $1,200 00 100B% $10,000.00 100.0% $6,210 00 100.0% $22,718 00 100.0% $36,928.00 100.0% $304,416.00 100.0% $18,10200 97.4% $91,987.00 100.0% $2,700.00 100.0% $1,000 00 100.0% $1,300 00 100B% $1,750.00 100.0% $50,022.00 100.0% $8,000 00 100.0% $12,500.00 100.0% $2,146.00 100.0% $79,920 00 100.0% $6,765 00 100B% $235.00 100.0% $5,856.00 85.9% $18,532 00 100.0% $13,000.00 100.0% $4,425 00 100.0% $4,700 00 100B% $4,400.00 100.0% $5,000 00 100.0% $128,404 00 100.0% $66,000.00 100.0% $13,860.00 100.0% $1,720.00 100.0% $5,400 00 100.0% $51,000 00 100B% $13,260.00 100.0% $36,000.00 100.0% G Balance to Finish (B-F) $448.00 $3,663.00 $474.00 $960.00 $5,200.00 Progress Estimate For (°..tuet). Sycamore Park Paving & Park Improvements Application Penod: A Item Bid hem No. Specifrcatmn Unit of Measure section No. Alternate A Sycamore Park Drive & Parking Lot (90 Calendar Days) Al Mobilintion(maximum 6% oftotal Bid) 017000 LS A2 Remove SidewaWTrail 0241 13 SF A3 Remove Cable Fence 0241 13 LF A4 Remove Asphalt Pvmt 0241 15 SY A5 Remove Conc Curb & Gutter 0241 15 LF A6 Removal of Exist Tree EA A7 Tree Protection (Install & Remove) LS A8 Unclassified Excavation by Plan 3123 16 CY A9 Embankment by Plan 31 24 00 CY AIO SWPPP > 1 acre 31 25 00 LS All Erosion Control Measures (Install & Remove) 31 25 00 LS Al2 Hydrated Lime 32 11 29 TN A13 6" Lime Treatment 32 11 29 SY A14 6" Conc Pvmt 32 13 13 SY A15 5" Co. Trail 32 13 20 SF A16 Cable Fence 11 67 13 LF A17 Street & Handicap Signage 34 41 30 LS A18 Pavement Markings 32 1723 LS A19 Wheelsmp 116713 EA A20 Block Sod Placement & Temporary Watering 32 92 13 SY A21 Deco plsed Granite SF A22 Trenafety 330510 LF A23 Removal of Exist Storm Dram, Inlets and Headwall LF A24 21" Polypropylene Pipe for Storm Drain 3341 13 LF A25 24" Polypropylene Pipe for Storm Drain 3341 13 LF A26 36" Polypropylene Pipe for Stomi Drain 3341 13 LF A27 4' Stomt Junction Box 33 49 10 EA A28 356' Catch Basin 32 49 20 EA A29 4' Drip Inlet 33 49 20 EA I A30 10' Curb Inlet 32 49 20 EA A31 36" Type C Headwall 33 49 40 EA A32 T c Control 3471 13 MO Alternate B Sycamore Park Drive (30 Calendar Days) Bl Mobilimgjp mn " f % of total Bid) 01 70 00 LS B2 Remove Sidewalk/Trail 0241 13 SF B3 Remove Cable Pence 0241 13 LF B4 Remove Asphalt Pvmt 0241 15 SY B5 Remove Conc Curb & Gutter 0241 15 LF B6 Removal of Exist Tree EA B7 Tree Protection (Install & Remove) LS B8 Unclassified Excavation by Plan 3123 16 CY B9 Embankment by Plan 31 24 00 CY B10 SWPPP > 1 acre 31 25 00 LS Bl1 Erosion Control Measures (Install & Remove) 31 25 00 LS B12 Hydrated Lime 321129 TN B13 6" Lime Treatment 32 11 29 SY B14 6" Conc Form 32 13 13 SY 1 B15 5" Cone Trail 32 13 20 SF 1 B16 Truncated Domes at Trail Crossing 32 1320 EA 1 B17 Collapsable Bollards 116713 EA 1 B18 Cable Fence 116713 LF 1 B19 Street & Handicap Signage 34 41 30 LS 1 B20 Pavement Markings 32 1723 LS 1 B21 Block Sod Placement & Temporary Watering 32 92 13 SY 1 B22 Traffic Control 3471 13 MO City secretary Contract Nam: Bid Quantity Unit Price 1.00 $37,000.00 714000 $2.00 535.00 $3.00 6506.00 $11.00 40.00 $7.00 1.00 $1,000.00 100 $1,00000 2150.00 $35.00 5.00 $20.00 1.00 $300.00 1.00 $6,200.00 9900 $307 00 6162.00 $5.00 547600 $71 00 8948.00 $6.75 46700 $18 00 100 $2,00000 100 $3,300 00 7800 $74 00 3588.00 $6.00 396000 $5 00 725.00 $2.00 107.00 $28.00 35600 $10300 325.00 $113.00 44.00 $207.00 1.00 $5,200.00 5.00 $3,100.00 1.00 $6,500.00 100 $8,50000 100 $5,70000 3.00 $900.00 C-620 Unit Price Progress Estimate 57886 Contractor's Application Application Number: 10-FINAL Appliestmn Date: B C D E F G Total Completed % Balance to Finish Bid Value Bstircated Quantity Materials Presently Valne Previously Installed Value Value This Pencil and Stored to Date (P) (B - P) Installed Stored (not in C) (D+E) B 1.00 $10,000.00 $10,000001 1 8556.00 $2.00 $17,112.001 1 523.00 $3.00 $1,569.001 1 323500 $1100 $35,585.001 1 431.00 $7.00 $3,017001 1 1.00 $1,000.00 $1,000001 1 1.00 $600.00 $600.001 1 912.00 $35.00 $31,920.001 1 5000 $20 00 $1,000.001 1 1.00 $100.00 $100001 1 1.00 $3,700.00 $3,700001 1 44.00 $307.00 $13,508.001 1 2718.00 $5.00 $13,590.001 1 2594.00 $69.00 $178,986001 1 10152.00 $6.50 $65,988.001 1 200 $450.00 $900.001 1 2.00 $875.00 $1,750001 1 56400 $1800 $10,152.001 1 100 $1,30000 $1,300.001 1 1.00 $1,220.00 $1,220001 1 4415.00 $6.00 $26,490001 1 1.00 $900.00 $900.001 1 This document has been modified from its ongmal form as an EJCDC document and the user did not highlight the modifications You are encouraged to read the document carefully and consult Legal Counsel prior. ro its execmion Progress Estimate For(o,obact). Sycamore Park Paving & Park Improvements IAPplicahon Period: A Item Bid Item No. Alternate C Sycamore Park Drive (30 Calendar Days) CI Mobili-tion(maximum 6%oftotal Bid) C2 Remove Cable Fence C3 Remove Asphalt Penn C4 Remove Cone Curb & Gutter C5 Tree Protection (Install & Remove) C6 Unclassified Excavation by Plan C7 Embankment by Plan C8 SWPPP > I acre C9 Erosion Control Measures (Install & Remove) CIO Hydrated Lime C 1 1 6" Lime Treatment C12 6' Conc Perot C13 Removal ofExtst Wooden Posts C14 Cable Fence C 15 Street & Handicap SignagE C16 Pavement Markings C 1 7 Block Sod Placement & Temporary Watering C18 Adjust Exist Manholes to Grade C19 Traffic Control City Secretary 57886 Contract Nam: Specificatmn Bid Quantity Unit Price Section No. Unit ofMeasure 017000 LS 1.00 $10,000.00 0241 13 LF 146.00 $3.00 0241 15 SY 342200 $11.00 0241 15 LF 32.00 $7.00 LS 1.00 $800.00 312316 CY 582.00 $35.00 31 24 00 CY 90.00 $20.00 312500 LS 100 $100.00 31 25 00 LS 1.00 $4,600.00 321129 TN 50.00 $307.00 321129 SY 3111.00 $5.00 321313 SY 2962.00 $70.00 11 67 13 EA 1600 $60.00 116713 LF 146.00 $18.00 344130 LS 1.00 $1,320.00 321723 LS 1.00 $1,250.00 32 92 13 SY 1111.00 $6.00 3305 14 EA 200 $525.00 347113 MG 1.00 $1,000.00 B C Bid Value BBfirrated Q.-ory In Called C-620 Unit Price Progress Estimate Contractor's Application Application Number: 10-FINAL Appl-son Date: D E F G Total Completed % Balance to Finish Materials Presently Valne Previously Installed Value Value This Petted Stored (not in C) and Stored to are I (B - F) (D+E) B This document has been modified from its ongmal form as an E3CDC document and the user did not highlight the modtti-firm You me encouraged to read the document carefully and consult Legal Counsel prior to its --ion $10,000.00 $438.00 $37,642.00 $224.00 $800.00 $20,370.00 $1,800.00 $100.00 $4,600.00 $15,350.00 $15,555.00 $207,340.00 $960.00 $2,628.00 $1,320.00 $1,250.00 $6,666.00 $1,050.00 $1,000.00 Progress Estimate For (e..bact). Sycamore Park Paving & Park Improvements (Application Penod: A Item Bid Item No. Totals C-620 Unit Price Progress Estimate City Secretary 97886 Contractor's Application Contract Not: Application Norther: 10-FINAL Application Date: B C D E P G Total Completed / Balance to Finish Bstircated (sanitaryMaterials Presently Specifrcatmv Bid Quantity Umt Pace Bid Value Vafe Previously Installed Value Value This Period and Stored to Date (F) B - P) Section No. Unit of Measure Installed Stored (not in C) (D I B) B $2,945,845.00 This document has been modified from its cngmal foam as an E1CDC docment and the user did not highlight the modifications Yon are encouraged to read the document carefidly and consult Legal Counsel poor, ro its esocmion $1,274,788.00 43.3% $1,671,057.00 C-620 Change Order Progress Estimate Change Order Number 1 1 ADDITIONS For (contract): 833 & 102 Sycamore Park Paving & Park Improvements Application Period: Item Change Order Item De acnphon No. Dl Concrete Removal & Installation of 5" Concrete Sidewalk D2 Soccer Field Signage fi stallafien D3 Soccer Field Vault 6" Concrete Slab (lftM) D4 Soccer Field Temporary Access Trail D5 Concrete Removal & h�.stallation of4" Concrete Sidewalk D6 Demo, Grading, Landscaping and h�stallation of 12'Wide Concrete Ti, D7 Grading and Installation of 6' Benches w/Cowete Pad (70SF) D8 Grading and Installation of I(W long x 6' widfe with 9" Monolithic to Tofals City Secretary Contact Num B Addition Specification Unit of CO Quantity to Add Unit Price Change Order Section No. Measure Value SF 870.00000000 $9.00 $7,830.00 LS _ 1.00000000 $185.02 $185.00 SF 200.00000000 $11.00 _ $2,200.00 LS 1.00000000 $475.0; $475.00 SF 80.00000000 $8.00 $640.00 LS ' 1.00000000 $12.500.0; $12,500.00 LS 1.00000 ast $19.200.00 $19,200.00 LS 1.00000000 $2.000.00 $2,000.00 S45.030.00 57886 C D Estimated Q-tily Installed Value 870.00000000 $7,830.00 1.00000000 $185.00 200.00000000 $2,200.00 1,00000000 $475.00 80.00000000 $640.00 1.00000000 $12,500.00 1.00000000 $19,200.00 1.00000000 $2,000.00 $45.030.00 Previously Value This Installed Value Period This document has been modified tom its original form as an EJCDC document and the user did not highlight the modi cimem. You are encouraged to read the document carefully and consult Legal Counsel prior W its e-fim. Contractor's Application 10-FINAL E F Total Completed / Balance to Finish Materials Presently and Stored to Date (F) (B - F) St med (not to C) (D+E) B $7,830.00 100.0% 185.00 100.0% $2,200.00 100.0% $475.00 100.0% $640.00 100.0% $12,500.00 100.0% $19,200.00 100.0% $2,000.00 100.0% $45.030.00 100.0% C-620 Change Order Progress Estimate Change Order Number I 2 ADDITIONS IFor (coonact): 833 & 102 Sycamore Park Paving & Park Improvements Application Petted: A Item Change Order Item Deacnptiov Spec No. Sect Contractor's Application Cay Secretary Apphcatien Number: N 57886 10-FINAL Coact urn. Application Date: B C D E F Addition Change Estimated Quantity ificafion Una of CO Quantity to Add Unit Prica Ord,,, Value Installed wv No. Measure Prenoasly Value This Mataamis Paasavgy Value Installed Value Pend Stored (not at C) Total Completed and Stored to Data (D+E) (F) B I sveamore Park I D9 5"Concrete Trail SF 215.00000000 $700 $1,505001 D10 Cable Fence LF 21.00000000 $18.00 $378.001 D11 Soccer Field Vault 6"Concrete Slab SF 30.00000000 $1100 $33000 D12 6"Bollards LS 4.00000000 $750.00 $3,000.001 D13 18" Curb & Gutter LF 72.00000000 $3000 $2,16000 D14 Gradinq & 200 SY of Sod Installation LS 1.00000000 $1,222.00 $1,222.001 D15 I Tree Tdmminq & Removal LS 1.00000000 $2,15000 $2,15000 I I Andrew "Doc" Sessions Communitv Center I 1 Mobilize LS 1.00000000 $5,950.00 $5,950.001 I 2 Demolition (Parking Lot & HC Re �D LD) LS 1.00000000 $5\435.00 $5\435.001 I 3 Concrete Pavement (Parkinq Lot 8 SF 984.00000000 y15.75 $15,498.00 I 4 Remove & Reset Handrail LS 1.00000000 $400.00 $400.001 I 5 StriOginq & Signage LS 1.00000000 $2,700.00 $2,700.001 Totals $40.728.00 21500000000 $1,505.00 $1,505.00 21.00000000 30.00000000 S37800 $330.00 $378.00 $330.00 4.00000000 72.00000000 $3,00000 $3,000.00 $2,160.00 $2,160.00 1.00000000 1.00000000 $1,22200 $1,222.00 $2,150.00 $2,150.00 _ 1.00000000 1.00000000 $5,950.00 $5,435.00 $5,950.00 $5,435.00 _ 984.00000000 1.00000000 $15,498.00 $400.00 $15,498.00 $400.00 $END&W. This document has been modified from as onginal form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel rater to its execufion. $1,505.00 100.0% S378 00 IW0% $330.00 100.0% $3,00000 100.0% $2,160.00 100.09% $1,222 00 100.0% $2,150.00 100.09% $5,950 00 100.0% $5,435.00 100.0% $15,498 00 100.0% S400.00 100.0% SW028.00 93.4% Balance to Faa h (B - F) I I I I I I I I I I I I I I $2,700.001 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $2.700.001 C-620 Change Order Progress Estimate Change Order Number 1 2 DELETIONS IF- (contra"): 833 & 102 Sycamore Park Paving & Park tmpro-ments Awl —lion Number: IAwl—tion Penod: Application Date: IA B C D E I Change Order Item he Speafication Una of CO Quavhty to Unit Price Delehon Change Not Used Not Uscd Not Used Not Used Not Used No. Description S—trn No. Measure Delete Order Value I Base Bid (Sycamore Park) I 2 Remove Sids-dk/Trail SF 224.00000000 $2.o6 $448.04 I 5 Remwe A,,1.1t Pavmt SY 333.00000000 $11.o6 $3.663.06 I 16 4" Conc Sidewalk SF 79 00000000 $6.o6 $474A I 29 18" Polvgl 1ene Pipe for Storm Drain LF ]0 00000000 $96A $960A I 31 4' Sterm 1pnetipn Box EA 1 00000000 $s.20oA $5.200A I I I I I Totals $10,745.04 This document has been modified from ns original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document ess eflly and consult Legal Counsel pnor to its execution. Contractor's Application 10-FINAL F Not Used Not Used Not Used C-620 Change Order Progress Estimate Change Order Number 1 3 ADDITIONS �Fm (covhsa). 833 & 102 Sycamore Park Paving& Park Improvements CorySm0000y 57886 Contract Num Apphconon Pmod: A B C D Item Change Order Item Spectficafon Addition Unrt of CO Quantity to Add Unrt Price Change Order Estimated Quantity Value Previousty Value This No. Descr'ry0on Section No. Measure Value Nslalks] Installed Value Penod D16 Mobilize, Demo, Install Y, concrete nghof--way sidewalk at 3000 PSI, and grade and backfield at Sycamore Park LS 1.00000000 $3,855.00 $3,855.00 1,00000000 $3.855.00 $3,855.00 Contractor's Application Appl-fim Number: 10-FINAL Application Date E F MatenaIs Presentty Total Completed Scored (not N C) sad Stored to Date (F) (D+E) B $3,655.00 100.0% Total, $3.855.001 1 S3.855.001 $3.855.001 1 1 $3s55.00 100.0% Thus document has been modified from its ongmal form w m E1CDC document and the user dtd not highhgId the modifications You are encouraged to read the domment carefully and—.k Legal Counsel poor to 0s execution. Balance to Fmrsh (13-F) City Secretary Contract Num: I 57886 Application Period: Funding Identification (FID) Original Contract 1 34018-2060000-102014-RETAIN 1 30100-2060000-101833-RETAIN 134014-2060000-CO2498-R ETAI N 130100-2060000-CO2498-R ETAI N 133002-2060000-CO2498-R ETAI N 10 10 10 10 10 10 Change Order 1 1 34018-2060000-102014-RETAIN 1 30100-2060000-101833-RETAIN 134014-2060000-CO2498-RETAIN 130100-2060000-CO2498-RETAIN 133002-2060000-CO2498-RETAIN 10 10 10 10 10 10 Change Order 2 1 34018-2060000-102014-RETAIN 1 30100-2060000-101833-RETAIN 134014-2060000-CO2498-R ETAI N 130100-2060000-CO2498-R ETAI N 133002-2060000-CO2498-RETAI N 10 10 10 10 10 10 City of Fort Worth Summary of Charges Sycamore Park Paving & Park Improvements I P. p : Fwnun_nnnnm nzdK x. l 0 I Application Number: Total Completed Amt Remaining FWORO-0000011579 10-FINAL Gross Project Number: 101833 & 102014 Application Date: 1/0/1900 Retainage Net $43,204.39 $43,204.39 $23,500.01 $23,500.01 $1,170.61 $1,170.61 $210.04 $210.04 City of Fort Worth Summary of Charges City secretary Contract Num: 57886 Sycamore Park Paving & Park Improvements I p. p.: FW080-0000010346 & project Number: 101833 & 102014 l FWnRn-0000011579 Application Period: 0 I Application Number: I 10-FINAL Application Date: 1/0/1900 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals 134018-2060000-102014-RETAIN $43,204.39 $43,204.39 130100-2060000-101833-RETAIN $23,500.01 $23,500.01 134014-2060000-CO2498-RETAIN $1,170.61 $1,170.61 130100-2060000-CO2498-RETAIN $210.04 $210.04 133002-2060000-CO2498-R ETAI N 10 10 10 10 10 10 Grand Total $0.00 $0.00 $0.00 $68,085.05 1 $68,085.05 FORT WORTH. City of Fort Worth Change Order Request CSC No. 57886-COl Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) I City Sec # l 57886 Client Project #(s)� 101833 & 102014 Project Description Paving, Drainage & Park Improvements Contractor Northstar Construction, LLC Change Order #1 1 1 Datel 11/21/2022 City Project Mgr.1 Carlos M Gonzalez City Inspector Russell Rogers Dept. PARD Contract Time Totals (CD) Original Contract Amount $1,285,533.00 $1,285,533.00 120 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $1,285,533.00 $1,285,533.00 120 lGo to ADD & DEL Tabs to Enter CO Backup 45,030.00 45,030.00 67 Revised Contract Amount $1, 30,563.00 $1, 30,563.00 187 Original Funds Available for Change Orders $45,030.00 $45,030.00 Remaining Funds Available for this CO $45,030.00 $45,030.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 3.50% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACTCOST+ 25%) $1,606,916.25 JUSTIFICATION (REASONS) FOR CHANGE ORDER 1. During construction, the city determined that additional concrete sidewalks at several locations had to be removed and replaced due to deterioration conditions and to comply with accessibility standards. This change order will provide the concrete sidewalk necessary to stay within accessible means. 2. The plan and specs did not call for temporary parking for the local soccer associations. To provide the soccer league access to the site, the contractor installed temporary parking, signage, and a path to the soccer fields during the construction phase. 3. During construction, the city determined that the soccer league vault container was causing damage to the park landscape and maintenance. The city will add a concrete slab to the park site for a more effortless loading and unloading of the vault in the park and prevent any further damage to the park. 4. The construction plans call for the trail to taper down from a 12' wide path into an existing 8' trail next to the low water crossing. However, the low water crossing is 12' wide. Therefore, removing and replacing the current 8' trial with a 12' path will provide a consistent trail width. 5. The plan and specs did not call for new sitting areas on the new trail. The contractor will purchase and install six (6) bench areas to provide this demand. 6. The city determined that the construction plans had a grade bust while installing the concrete sidewalk next to the parking lot. The proposed grades next to this walk would require the removal of additional grading and the removal of the existing landscaping. To prevent this and to maintain the necessary grade slopes for city maintenance, it was determined to add a 9" concrete curb next to the sidewalk trail. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Na Contract Sig Date Northstar Construciton, LLC. Michael A. Heimlich 1Ch0e,� . „ 42.1 H Nov 22, 2022 [inspector/inspection Supervisor Date Pro ect and Contract Compliance Manager Date . E:SCSn ,�,,G,�n Nov 22, 2022.u/...° j.,ii�.�/.� Nov 23, 2022 GaH Senior Capital Project Officer Date Date Nov 29, 2022 Date Dec 1, 2022 Date Director, Contracting Department (Dept) Nov 30, 2022 Dec 5, 2022 Dec 5, 2022 l . Q l Dec 12, 2022 1 ' Council Action (if requ' M&C Number I NIA M&C Date Approved l ATTEST:i Jannette S. Goodall (Dec 12, 202215:41 CST) Jannette Goodall, City Secretary ppFF�R>o,yaA a�9-id A PV= g=d paanq�zps4a OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH City of Fort worth —`'!'l---- Change Order Additions Project Name l Paving, Drainage g Park Improvements for Sycamore Park (Phase 1) City Sec # 57886 Client Project # l 101833 g 102014 1 Contractorl Northstar Construction, LLC PMI Carlos M Gonzalez Inspectorl Russell Rogers l Change Order Submittal # O1 Date l 11121 /2022 ADDITION5 HEM UESUHINIIUN DEVI Uty Unit Unit Uost total D1 Concrete Removal & Installation of 5" Concrete Sidewalk PARD 870.00000000 SF $9.00 $7,830.00 D2 Soccer Field Signage Installation PARD 1.00000000 LS $185.00 $185.00 D3 Soccer Field Vault 6" Concrete Slab (10'x20') PARD 200.00000000 SF $11.00 $2,200.00 D4 Soccer Field Temporary Access Trail PARD 1.00000000 LS $475.00 $475.00 D5 Concrete Removal & Installation of 4" Concrete Sidewalk PARD 80.00000000 SF $8.00 $640.00 D6 Demo, Grading, Landscaping and Installation of 12' Wide Concrete Trail PARD 1.00000000 LS $12,500.00 $12,500.00 D7 Grading and Installation of 6lBenches w\Concrete Pad (70 SF) PARD 1.00000000 LS $19,200.00 $19,200.00 D8 Grading & Installation of 100' Long x 6' Wide, with 9" Monolithic Curb PARD 1.00000000 LS $2,000.00 $2,000.00 PARD $45,030.00 Sub Total Additions $45,030.00 Change Order Additions Page 2 of 4 FORT WORTH City of Fort worth Change Order Deletions Project Name I Paving, Drainage g Park Improvements for Sycamore Park (Phase 1) City Sec # 57886 Client Project # 1 101833 g 102014 1 Contractorl Northstar Construction, LLC PMI Carlos M Gonzalez Inspectorl Russell Rogers l Change Order Submittal # O1 Date 1 11121 /2022 1 DELETIONS I I tM ULb ;Kll' I MN ULV I uty unit unit l;ost I otal PARD $0.00 Sub Total Deletions $0.00 Change Order Deletions Page 3 of 4 N/A MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE I AMOUNT Total I $0.00 1 J N I GRAPHIC SCALE —Id.. 1 1 (D5) - Concrete emoval & Installation 4" Concrete Sidewalk (See Page C1.44 Data B&C) (D7)-Concrete Pad w/ 6' Bench w (See Page h C1.44, Detail E & I F) _ -SoccerFieldTemporary](D4) Access Trail CD o o JFiel- Soccer Field Signage -1 "FENCE n i (D6) - Dem ), Grading, Landscaping & Installation of 12' Wide Concrete Trail (See a Page C1.44, Detail A,B&C) "n . FORT WORTH is11 eta dote by dere Nov 2022 (D5) - Concrete Removal & Installation Air I'�.........I.. C:.�.......IL (D1) - Concrete emoval & Installation 5" Concrete (See Page C1.44, Detail A,B&C) `Fwt D3(0 16x 20 Soccer Field ❑_ Vault .1 Concrete Slab J (See Page rrM )if C1.44, Detail, A) - Grading & Installation of 00' x 6" Concrete Sidewalk tith 9" Monolithic Curb City of Fort Worth, Texas Prwzoi s7 C.—udi— Pl—fer sheet Sycamore Park CHANGE ORDER No. 1 * I xlMExs�NF�xxx�auti �F�Eo�oE Rib MenIMMMR�Fxlxx� ���� MM�, Ye CCONCRETE TRAIL/SLAB PAVING A NTS �PROFasEa ceNCREtETRne NO NO E OGETEIG CCONNECTION TO EXISTING WALKWAY CSIGN POST DETAILS NTS �h g �5 os reN,.IMn r��EP �3oIxT CCONCRETE PAVING WITH CONTROL JOINT NTS ra °O- � STM�EssIaLE SFAC suq ', 9 �� / MEOIW BROOMFINI6X AST�Po�ixicF inxcEMGY F. CPARK BENCH CONCRETE SLAB LAYOUT \ �xrRa,3oIxT � Tr OP -.1 PICNIC TABLE CONCRETE SLAB ■ 4 oM,. �,xo _ l rt IN CCONCRETE PAVING EXPANSION JOINT NTS sTCRT NORM LCso 11 � . Ixs PARK BENCH SURFACE MOUNT F NT, Cl) � J g W J Q boa � HZN ('3 0 O H Z LL < OULL H W U ca Q od �a Z a a Q a i x3�„zx,x I N MabR PKD - 4 League nail and Perkins, inc 5°Ole City of Fort Worth, Texas FTwzoiess 5237 N. ,..,,,a r,...3.N,10 FORT WORTH bel, ''", .e. �'� t np ' ss3ss s I t/ Construction Plans for shee, 8,3.33b.bT ,r.336.]813 i. a/Y /SCOiT. IBSOx Sycamore Park 44 a � ��IE - w d /� Park Details (3 of 5) by dme rbvels.v 1ev.. v.roo.a3,, nae.wsan 'o,w3el Apr 2072 �.• FORT WORTH. City of Fort Worth Change Order Request Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) Client Project #(s)I 101833 & 102014 Project Description Contractor Northstar Construction, LLC City Project Mgr.1 Carlos M Gonzalez Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date JGo to ADD & DEL Tabs to Enter CO Backup Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) PARD $1,285,533.00 $45,030.00 Paving, Drainage & Park Improvements I� Change Order #1 I CSC No. 57886-CO2 City Sec # 1 57886 Datel 2/7/2023 City Inspector Russell Rogers Contract Time Totals (CD) $1,285,533.00 120 $45,030.00 67 $1,330,563.00 $1,330,563.00 187 $29,983.00 14 $1,360,546.00 201 $0.00 $29,983.00 $29,983.00 $1,360,546.00 $0.00 $0.00 $29,983.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 5.84% MAXALLOINABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%) $1,606,916.25 Ek JUSTIFICATION (REASONS) FOR CHANGE ORDER Sycamore Park • During construction, city staff determined that several pay line items in the original contract had averages in quantities, and others required additional amounts. Therefore, this change order will adjust the quantities built. • During construction, it was determined that additional grading and installation of sod were required to prevent any further erosion in the park. • The plans call for portions of the road to cross multiple trees in the park. The contractor will trim and remove the tree limbs. Andrew Doc Sessions Community Center • The city requested the contractor to provide a proposal to demo and replace the existing handicapped parking lot at Andrew Doc Sessions Community Center with an accessible parking area. Stripping for this work area will match the existing layout. Based on current bid prices, the contractor's proposal was found fair. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Northstar Construciton, LLC. Michael A. Heimlich „e,,,,,1n, "I e' 1,,,,p,scii Feb 7, 2023 Ins ectorllns ection Supervisor Date Project and Contract Compliance Manager Date Feb 9, 2023 .... j ; /%; Feb 9, 2023 ram manager Date Senior Capital Project Officer Date Feb 9, 2023 —0 Feb 10, 2023 Date Director, Contracting Department Dept Date a.� Feb 16, 2023 )�- Feb 21, 2023 Date JAssistant City Manager Date l Feb 21, 2023 _ p Feb 24, 2023 Council Action if required) M&C Number I NIA M&C Date Approved I N/A ATTEST: q A 4— ` � Jannette Goodall, City Secretary FORT WORTH City of Fort Worth �''!'�— Change Order Additions Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) City Sec # 57886 Client Project # 101833 & 102014 1 Contractor Northstar Construction, LLC PMI Carlos M Gonzalez Inspectorl Russell Rogers Change Order Submittal # 0 Date I 2M2023 ADDITIONS 11 LM ULbUKIF' I IUN ULH I Uty Unit Unit cost I otal s camore Nark D9 5 Conc Trail PARD 215.00000000 SF $7.0U $1,50.UU D10 Cable Fence PARD 21.00000000 LF $18.0U $:f18.UU D11 Soccer Field Vault 6" Concrete Slab PARD 30.00000000 SF $11.0U $:f3U.UU D12 6" Bollards PARD 4.00000000 LS $750.0U $3,000.UU D13 18" Curb & Gutter PARD 72.00000000 LF $30.0U $2,1bU.UU D14 Grading and 200 SY of Sod Installation PARD 1.00000000 LS $1,222.0U $1,222.UU D15 Tree Trimming and Removal PARD 1.00000000 LS $2,150.0U $2,15U.uu Andrew "Doc" Sessions Community Center 1 Mobilize PARD 1.00000000 LS $5,950.0U $b,9bU.UU 2 Demolition (Parking Lot & HC Ramp PARD 1.00000000 LS $5,435.0U $b,435.UU 3 Concrete Pavement (Parking Lot & amp) PARD 984.00000000 SF $15.75 $1 b,498.UU 4 Remove & Reset Handrail PARD 1.00000000 LS $400.0U $4UU.UU 5 Stripping & Signage PARD 1.00000000 LS $2,700.0U $2,11JUMU PA 2D $40,728.00 Sub Total Additions $40,728.00 Change Order Additions Page 2 of 4 FOR_ W� City of Fort Worth Change Order Deletions Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) City Sec # 57886 Client Project # 101833 & 102014 1 Contractor Northstar Construction, LLC PMI Carlos M Gonzalez Inspector) Russell Rogers Change Order Submittal # Date 217/2023 DELETIONS I I EM UEbUKIP I IUN UEP I Uty Unit Unit Cost I otal BASE BID (SYCAMORE PARK) 2 Remove Sidewalk /Trail Deduction PARD 224.00000000 SF $'2.UU $44d.UU 5 Remove Asphalt Pavmt (Deduction; PARD 333.00000000 SY $11.UU $3,bb3.UU 16 4" Conc. Sidewalk Deduction) PARD 79.00000000 SF $6,0U $414.UU 29 18" Polypropylene ipe for Storm Drain PARD 10.00000000 LF $96.0U $96um 31 4' Storm Junction Box PARD 1.00000000 EA $b,20U.0U $b,2UU.UU PARD $10,745.00 Sub I otal Deletions $10,145.00 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders Co # DATE I AMOUNT N/A Total I $0.00 I FORT WORTH® City of Fort Worth Change Order Request CSC No. 57886-CO3 Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) City Sec # 1 57886 Client Project #(s)� 101833 & 102014 - 34018-0800450-5740010-102014--003780-9999-18010199 Project Description Paving, Drainage & Park Improvements Contractor Northstar Construction, LLC Change Order #I 3 1 Date 5/26/2023 City Project Mgr.1 Carlos M Gonzalez City Inspector Russell Rogers Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date PARD $1,285,533.00 $75,013.00 Contract Time Totals (CD) $1,285,533.00 120 $75,013.00 81 201 lGo to ADD & DEL Tabs to Enter CO Backup $3,855.00 $3,855.00 Revised Contract Amount $1,364,401.00 $1,364,401.00 201 Original Funds Available for Change Orders $0.00 $0.00 Remaining Funds Available for this CO $0.00 Additional Funding (if necessary) $3,855.00 $3,855.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 6.14% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,606,916.25 JUSTIFICATION (REASONS) FOR CHANGE ORDER During the project final state inspection, it was determined that a portion of the right-of-way sidewalk at Sycamore Park was not accessible according to state inspector Therefore, the purpose of this change order is to remove the inaccessible walk and replace it with a new accessible concrete sidewalk. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor Name Contract Signature Date Northstar Construciton, LLC. Michael A. Heimlich ,,may _, ,,D May 26, 2023 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date °• • May 31, 2023 FORT <„�/.-, . �,,,,�„/,� May 31, 2023 Program Manager IL Date Senior Capital Project Officer Date Jun 1, 2023 s &_P Jun 2, 2023 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date 7 2 -t` Jun 5, 2023 Jun 11, 2023 Assistant City Attorney Date Assistant City Manager Date Jun 15, 2023 Jun 16, 2023 Council Action if required) M&C Number I I M&C Date Approved ATTEST: A �lq Jannette Goodall, City Secretary FORTWORTH City of Fort Worth V`- Change Order Additions Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) Client Project # 101833 & 102014 - 34018-0800450-5740010-102014-003780-9999-18010199 Contractor Northstar Construction, LLC PMI Carlos M Gonzalez Change Order Submittal # ADDITIONS HEM LM ULSI;KIF' I IUN ULF I D16 Mobilize, Demo, Install 5' concrete righ-of-way sidewalk at 3000 PSI, and PARD grade and backflield at Sycamore Park Uty 1.00000000 City Sec # 57886 1 Inspectorl Russell Rogers Date 1 5/26/2023 Unit Unit Cost I otal LS $3,855.00 $3,855.00 PA 2D $3,855.00 Sub Total Additions $3,856.00 Change Order Additions Page 2 of 4 HEM EM FORT WORTH City of Fort Worth Change Order Deletions Project Name Paving, Drainage & Park Improvements for Sycamore Park (Phase 1) Client Project # 101833 & 102014 - 34018-0800450-5740010-102014-003780-9999-18010199 Contractor Northstar Construction, LLC PMI Carlos M Gonzalez Change Order Submittal # DELETIONS UEb(;KIP I IUN UEP I Uty City Sec # 57886 1 Inspectorl Russell Rogers Date 1 5/26/2023 1 Unit Unit Uost I otal PA 2D $0.00 Sub Total Deletions $0.00 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service T Amount for this CO N/A Total $0.00 Previous Change Orders co # DATE I AMOUNT Total I $0.00 1 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS March 6, 2024 Northstar Construction 2112 Solona street Fort Worth Texas 76117 RE: Acceptance Letter Project Name: Sycamore Park Improvements Project Type: Paving, Drainage ,Park Improvements City Project No.: 102014 &101833 To Whom It May Concern: On March 23, 2023 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on April 21, 2023. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on April 21, 2023, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-5734. Sincerely, Fc Carlos M Gonzales Jr., Project Manager Cc: Russell Rogers, Inspector Gary Deyon, Inspection Supervisor Before &After Picutres Troy Gardner, Senior Inspector Micheal Owen , Program Manager TNP, Consultant Northstar construction, Contractor CFW, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. Si]R0067429 PROJECT: Paving, Drainage & Park Improvements for Sycamore Park (Phase 1), City Project (name, address) Number 101833 & 102014, Fort Worth, TX TO (Owner) [ City of Fort Worth ] ARCHITECTS PROJECT NO: 200 Texas Street Fort Worth, TX 76102 CONTRACT FOR: [ ] CONTRACT DATE: .Tune 28, 2022 CONTRACTOR: Northstar Construction, LLC 2112 Solona Street Fort Worth, TX 76117 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Cornpany) Argonaut Insurance Company P.O. Sox 469011 San Antonio, TX 78246 ,SURETY COMPANY, on bond of (here insert name and address of Contractor) Northstar Construction, LLC 2112 Solona Street Fort Worth, TX 76117 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 as set forth in the said Surety Company's bored. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 18th Attest; -,�-o •] (Seal): day of April Argonaut Insurance Company Surety Company 10. -6�s I ,, r ", Signature of Authorized Repres"tive Sandra Lee Roney Title ,OWNER, 2Q23 Attorney -In -Fact NO'1'Ei This form is to be used as a companion document td AIA DOCUME?N',' 0-7f6, COWRAC OR'S ATE-IDAVrr of PAYMFKr 01: DEBTS AND CLAIMS, Current Edition AIA DOCUMEiNT G707 a CONSENT OI' SURETY COMPANY TO F[INA1. RAWENT a APRIL 1970 LDrnoN a AIAO ONI: PAGE: 0 1970 a THE AMERICAN INSITrUTH OF ARCS 117F.C'1'S, 1735. New York Ave.,,NW, WASHINGTON, D.C. 20006 Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY TFIESE PRESENTS: That the Argonaut Insurance Company. a Corporation duly organized and existing under the laws of the Slate of Illinois and having it•5 principal office in the County ol'Cook• Illinois does hereby nominate, constitute and appoint: Andrea Rose Crawford. Troy Russell Key. Debra Lee Moon. John William Newbv_ Sandra Lee Roney. Joshua 1). Tritt. Suzanne Elizabeth Yiedzwiedx Their true and lawful agent lsl and attorney;sl-m-fact, Lath m their separate rapacity if more than one et named abole, to make, execute, seat and deliver lift and on its behalf as surely. and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided. however, that the penal sum ufany one such instrument executed hereunder shall not exceed the sum of. S97,550,0W_00 This Power of Attumev is granted and is signed and sealed under and by the authority of the followurg Resolution adopted by the Board of Directors of Argonaut Insurance Company "RESCILVED. Thar the President, Senior V ice President, Vice President, Assistant Vice President. Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney. and such authority can be executed by use of facsimile signature. which may he attested or acknowledged by any oMeer or attorney, or the Company, qualifying the attorney or attomeys named in the given power of attorney, to execute in behalf ol; and acknowledge as the art and deed of the Argonaut Insurance Company, ail hwnd undertakings and contracts of suretyship, and to at7ix the corporate seal thereto." FN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly authorized oflieer on the I9th day or November, 2 02 1 Argonaut Insurance Company STATE: OF TEXAS COUNTY OF HARRiS SS nn.naa,� URA SEAL by: ••7ti��: ' T: Z,,,,, f 4--Z- Gary F. Grose , President On this 19th day of November. 2021 A.D., before me, a Notary Pub Iic or the State of Texas, in and ror the County of Harris, duty comm issIuned and yuatitied, came THE ABOVE: OFF ICLiR Of TTIE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowIedgcxi the execution of same, and being by me duly sworn, deposed and said that he is the officer ol'the said Company aroresaid. and that the seal affixed to the preceding instrument is the Corporate Seal nrsaid Company. and the said Corporate Seal and his signature as officer were duly atiixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board or Directors of said Company. rererred to in the preceding instrument is now in force. INTES.: ONY WHEREOF, [have hereunto sci my hand, and affixed my Official Seal at the County of Harris. the day and year first above written. �• KATHAAL EEN M MEEvKS NOTARY PUDOC COM CE F' 0711 �IlY CQMM E%P p•7715f15 NOTA F! ID 55_?W2-8 ltiowr� PuNLcl 1_ the undersigned 0flicer of the Argonaut Insurance C'ontpany, Illinois Corporation. do hereby certiCv that the original POWF,R OF AT"I'ORNEY of which the foregoing is a ru11, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF. I have hereunto set my hand. and affixed the Seal of said Company. on the ��f day or Av ",\ 3 190 Austin W. King Secretary IF YOU HAVE QUESTIONS ON ALt'rHENTV_'ITY (W THIS POC 1:MENT CALL 1833) 8211- 9137. .wj1:10:4r:.►L4i111110[91M. = To obtain information or make a complaint: You may call Argonaut Insurance Company and its affiliates by telephone for information or to make a complaint: ARGONAUT INSURANCE COMPANY Please send all notices of claim on this bond to: Argo Surety Claims (413) 773-6359 Deliveries Only: 225 W. Washington, 241h Floor, Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: (512) 490-1007 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: httr)://www.tdi.state.tx.us E-mail: Cons umerProtection657tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your agent or Argo Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document and is given to comply with Texas legal and regulatory requirements. CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS AIA DOCUMENT G706 TO (Owner) L City of Fort Worth 200 Texas Street I State of: TEXAS County of: TARRANT OWNER ❑ ARCHITECT 0 CONTRACTOR ❑ SURETY ❑ OTHER ENGINEER'S PROJECT NO: CONTRACT FOR: City Project # 101833 & 102014 Sycamore Park Paving Improvements J CONTRACT DATE: June 28, 2022 The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AIA Document A201, hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible. EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.) N/A SUPPORTING DOCUMENTS ATTACHED HERETO: 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA DOCUMENT G707, CONSENT OF SURETY, may be used for this purpose. CONTRACTOR: Northstar Construction, LLC. Indicate attachment: (Yes X ) (No ) The following supporting documents should be attached hereto if required by the Owner: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment Separate Releases or Waivers of Liens from Sub- contractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. 2. Contractor's Affidavit of Release of Liens (AIA DOCUMENT G706A) Address: 2112 Solona Street Fort Worth, Texas 76117 BY: M;dj Michael A. Heimlich, President Subscribed and sworn to before me this Day of 17th of April, Notary Public: 1• IN is ion Expires 026 My Commission Expires: 10/06/2026 AIA DOCUMENT G706 • CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS • APRIL 1970 EDITION . AIR ®© 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 ONE PAGE CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS AIA DOCUMENT G706A TO (Owner) L City of Fort Worth 1 200 Texas Street Fort Worth, Texas 76102 State of: TEXAS County of: TARRANT ENGINEER'S PROJECT NO: CONTRACT FOR: CPN #: 101833 & 102014 Sycamore Park Paving Improvemetns CONTRACT DATE: June 28, 2022 The undersigned, pursuant to Article 9 of the General Conditions of the Contract for Construction, AIA Document A201, hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have liens against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: (If none, write "None". If required by the Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.) N/A SUPPORTING DOCUMENTS ATTACHED HERETO: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcon- tractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. .uw�s..awatau,�a� 94aa4444A ." eoaamA tPP� PUg SANDY Q. MARTINEZ ID #6930887 } 5 My Commission Expires October 06, 2026 .............. CONTRACTOR: Northstar Construction, LLC. Address: 2112 Solona Street Fort Worth, Texas 76117 BY: Michael A. Heimlich, President Subscribed and sworn to before me this 17th day of April, 2023 Notary Public: �t My Commission Expires: 10/06/2026 AIA DOCUMENT G706A • CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS • APRIL 1970 EDITION O AIA © 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 ONE PAGE Sycamore Park Paving & Park Improvements Before & After Pictures Sycamore Park Paving & Park Improvements (CD8) — Before 2022 Sycamore Park Paving & Park Improvements (CD8) — After 2024 Sycamore Park Paving & Park Improvements Before & After Pictures Sycamore Park Paving & Park Improvements (CD8) — Before 2022 Sycamore Park Paving & Park Improvements (CD8) — After 2024 Sycamore Park Paving & Park Improvements Before & After Pictures Sycamore Park Paving & Park Improvements (CD8) — Before 2022 Sycamore Park Paving & Park Improvements (CD8) — After 2024 Sycamore Park Paving & Park Improvements Before & After Pictures Sycamore Park Paving & Park Improvements (CD8) — Before 2022 Sycamore Park Paving & Park Improvements (CD8) — After 2024